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Bending the Curve Trial by Trial
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NSCLC Collaborative Group meta-analysis

Needs review

Chemotherapy in non-small cell lung cancer: a meta-analysis using updated data on individual patients from 52 randomised clinical trials

Phase meta-analysisN = 9,387

Population
Patients with non-small cell lung cancer in randomised trials of cytotoxic chemotherapy, grouped by the treatment setting compared.
Design
Meta-analysis using updated data on individual patients from all available randomised trials, published and unpublished: 52 randomised clinical trials, 9387 patients and 7151 deaths. Main outcome measure: survival.
Primary endpoint
OS
Arms
  • Without chemotherapy (control): Surgery, radical radiotherapy or supportive care alone, according to the comparison
  • With chemotherapy (experimental): The same treatment plus chemotherapy, according to the comparison
People
Non-small Cell Lung Cancer Collaborative Group, Non-small Cell Lung Cancer Collaborative Group
OSHR 0.87OSHR 0.87OSHR 0.73
Show the numbers
Results reported for NSCLC Collaborative Group meta-analysis
EndpointAnalysisWith chemotherapyWithout chemotherapyEffect
OSTrials comparing surgery with surgery plus chemotherapySurvival, the main outcome measure of the meta-analysis.primaryNon-small 1995——HR 0.87Hazard ratio 0.87, described in the abstract as a 13% reduction in the risk of death, equivalent to an absolute benefit of 5% at five years. No confidence interval is given in the abstract. The abstract does not state whether this ratio is restricted to cisplatin-containing regimens.
OSTrials comparing radical radiotherapy with radical radiotherapy plus chemotherapySurvival, the main outcome measure of the meta-analysis.primaryNon-small 1995——HR 0.87Hazard ratio 0.87, described in the abstract as a 13% reduction in the risk of death with an absolute benefit of 4% at two years. No confidence interval is given in the abstract. The abstract does not state whether this ratio is restricted to cisplatin-containing regimens.
OSTrials comparing supportive care with supportive care plus chemotherapySurvival, the main outcome measure of the meta-analysis.primaryNon-small 1995——HR 0.73Hazard ratio 0.73, described in the abstract as a 27% reduction in the risk of death and a 10% improvement in survival at one year. No confidence interval is given in the abstract. The abstract does not state whether this ratio is restricted to cisplatin-containing regimens.
Results reported for NSCLC Collaborative Group meta-analysis
EndpointAnalysisWith chemotherapyWithout chemotherapyEffect
OSTrials comparing surgery with surgery plus chemotherapySurvival, the main outcome measure of the meta-analysis.primaryNon-small 1995——HR 0.87Hazard ratio 0.87, described in the abstract as a 13% reduction in the risk of death, equivalent to an absolute benefit of 5% at five years. No confidence interval is given in the abstract. The abstract does not state whether this ratio is restricted to cisplatin-containing regimens.
OSTrials comparing radical radiotherapy with radical radiotherapy plus chemotherapySurvival, the main outcome measure of the meta-analysis.primaryNon-small 1995——HR 0.87Hazard ratio 0.87, described in the abstract as a 13% reduction in the risk of death with an absolute benefit of 4% at two years. No confidence interval is given in the abstract. The abstract does not state whether this ratio is restricted to cisplatin-containing regimens.
OSTrials comparing supportive care with supportive care plus chemotherapySurvival, the main outcome measure of the meta-analysis.primaryNon-small 1995——HR 0.73Hazard ratio 0.73, described in the abstract as a 27% reduction in the risk of death and a 10% improvement in survival at one year. No confidence interval is given in the abstract. The abstract does not state whether this ratio is restricted to cisplatin-containing regimens.
Primary publication: Non-small Cell Lung Cancer Collaborative Group. Chemotherapy in non-small cell lung cancer: a meta-analysis using updated data on individual patients from 52 randomised clinical trials. BMJ. 1995;311(7010):899-909. PubMedDOI

Appears in

Sources

  1. Non-small Cell Lung Cancer Collaborative Group. Chemotherapy in non-small cell lung cancer: a meta-analysis using updated data on individual patients from 52 randomised clinical trials. BMJ. 1995;311(7010):899-909.

    PubMedDOI